| NPI | 1558557983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WEISS Owner 810-603-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI MW007703) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI JN010488) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2023-03-17 |