| NPI | 1578502845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL G. MOORE Administrator 313-745-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |