| NPI | 1457300899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORICEL ESCOTE Owner/Physician 248-539-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301067373) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-04-03 |