| NPI | 1639266885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GUNST Office Manager 586-228-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-04-18 |