| NPI | 1639466055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WRIGHT Manager Human Resources 313-577-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704217349) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |