| NPI | 1518004084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK R BRENNAN Owner 248-437-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101014989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101005444) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |