| NPI | 1639265895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BURG Practice Manager 586-531-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-06-21 |