| NPI | 1548399652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M ALMODOVAR Owner 248-656-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 053408) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-11-28 |