NPI | 1609095256 |
---|---|
Doing Business As | WHITE LAKE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID LESZKOWITZ President 248-698-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2007-04-24 |
Last Update Date | 2019-11-25 |