| NPI | 1619266442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY EBERHARDT Physician 248-437-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101016493) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2016-06-01 |