| NPI | 1568625366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SELZNICK President 734-464-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |