NPI | 1487775417 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA R DISKIN Owner/Heathcare Provider Of Adult P 248-360-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4704136302) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2014-10-31 |