| NPI | 1598075566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA PURRY Medical Billing Specialist 248-469-7721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301045243) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |