| NPI | 1497866073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A JOHNSTONE Owner 248-355-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301048096) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 4301048096) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-04-16 |