| NPI | 1578583472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE JOHNSON Office Manager 313-292-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301067982) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-12-28 |