| NPI | 1538504626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL BANDLIEN Physician 313-894-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301046832) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301046832) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |