| NPI | 1588807630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. TROTTER Owner 248-559-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-04-18 |