| NPI | 1588783443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY FAJA President CEO 734-712-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |