| NPI | 1487773347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY FAJA President CEO 734-712-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 363A00000X Physician Assistant | |
| 207N00000X Dermatology | |
| 207ZP0007X Pathology, Molecular Genetic Pathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-09-21 |