| NPI | 1447583398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE RITTER Medical Director 248-932-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI MR070661) |
| Additional Taxonomies | 208VP0000X (Licence: MI MR070661) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2010-09-09 |