| NPI | 1619245461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY E PUCCIO President 313-277-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301052835) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |