| NPI | 1477970457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS STANLEY Manager 313-563-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 5101005442) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-06-25 |