| NPI | 1467658617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY K BINGAMEN Office Manager 734-762-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101008384) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-01-13 |