| NPI | 1538123963 |
|---|---|
| Other Name | PH FAMILY MEDICINE/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coodinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-11-15 |