| NPI | 1457359267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A BLANCHARD Owner/Physician 248-922-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI JB067853) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2012-02-20 |