| NPI | 1568285872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGHTUM HALSEY Credentialing Coordinator 248-780-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-08-29 |