| NPI | 1437544772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE DIETRICK Practice Admin 248-288-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301038490) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |