NPI | 1508009218 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
Enumeration Date | 2009-04-10 |
Last Update Date | 2021-05-03 |