| 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 |