| NPI | 1609944487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN JOHNNY KAKOS Owner Physician 248-399-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301068130) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-08-14 |