| NPI | 1609411768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F SASSER Owner 248-824-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |