| NPI | 1528480365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JEAN GREENWOOD Biller 313-221-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301084038) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2022-03-22 |