| NPI | 1568446409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO KIMBERLEE FERGUSON Owner/Physician 248-968-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301061334) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-06-25 |