| NPI | 1518136738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE G ENGELMANN Physician 248-620-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101007018) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-05-09 |