| NPI | 1649215914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M ROSENBERG Owner 248-374-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-08-05 |