| NPI | 1497941850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN M KENNEDY Physician 248-299-1892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101012334) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |