| NPI | 1457704850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Supervisor 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-11-15 |