| NPI | 1609000769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CLARK Director Finance, Medical Group 248-520-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| 208C00000X Colon & Rectal Surgery | |
| 208M00000X Hospitalist | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2024-01-25 |