| NPI | 1508864620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HARDWICKE Owner/Physician 586-778-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI MH404922) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-07-16 |