| NPI | 1477768661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE LYNN ADLER President 313-730-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI CA009890) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-03-17 |