| NPI | 1487637195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOSEPH USHER President 586-929-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301069572) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 005506) |
| 207R00000X Internal Medicine (Licence: MI 083559) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-10-01 |