| NPI | 1457782450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A SPAHLINGER Exec Medical Director Faculty Grp 734-936-3568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-03-06 |