NPI | 1578568036 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BAUER Cmo 734-632-0175 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2014-07-15 |