| NPI | 1548331523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE GREEN Physician CEO 313-833-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101009317) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |