| NPI | 1588829345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A RASAK Board Member 248-615-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |