NPI | 1598980385 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE W PATTERSON President, CEO 248-820-7030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 175F00000X Naturopath |
175L00000X Homeopath | |
103TF0000X Psychologist, Family | |
164W00000X Licensed Practical Nurse | |
174H00000X Health Educator | |
207QG0300X Family Medicine, Geriatric Medicine | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
374K00000X | |
207QS1201X Family Medicine, Sleep Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-08-15 |