| NPI | 1558445015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. COOLEY Owner / Physician 313-562-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI dc006823) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-11-03 |