| NPI | 1639318520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEVENS Owner 248-824-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 1041C0700X Social Worker, Clinical | |
| 363LF0000X Nurse Practitioner, Family | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2025-11-02 |