NPI | 1558442830 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM HEALY MAHAR CEO, Pres.,Chairman, Sec., Treas. 248-979-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2006-10-17 |
Last Update Date | 2008-05-23 |