| NPI | 1609821537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD ELLISON Owner/Physician 248-552-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301068024) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-12-27 |