| NPI | 1538616008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTUS PETER EVANGELISTA CEO 248-626-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301108922) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |