| NPI | 1629000708 |
|---|---|
| Doing Business As | HENRY FORD ALLEGIANCE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEANNE' WICKENS Senior Vice President Of Finance 517-841-6979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-04-01 |