NPI | 1508964511 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGG POLIDORI President 248-551-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301044285) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2014-05-05 |