| NPI | 1629116967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY OZOG Physician 734-464-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI RO008962) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-11-25 |