| NPI | 1598296485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY S LEE Physician 248-419-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 43010161252) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |