| NPI | 1568954600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE R GARDINER Admin Sec/Biller 586-573-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI TS4301053908) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-08-17 |