| NPI | 1548635121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E FRALEY Practice Manager 810-204-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301101847) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2024-06-13 |