| NPI | 1447432794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SCOTT BOAL Owner 734-953-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301070040) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-02-29 |