| NPI | 1497923304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D. WILHELM Owner 248-828-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI CW045808) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-05-23 |