| NPI | 1487045688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANE PATTERSON Owner/Physician 586-221-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101014038) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2021-03-31 |