| NPI | 1568533768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE FABELLO-GAMIAO Owner 734-462-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MI 4301060039) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2008-04-20 |