| NPI | 1447438759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE SHORT Office Manager 248-651-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301074932) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2012-10-12 |