| NPI | 1497874531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY FAJA President CEO 734-712-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-07-18 |