| NPI | 1649329913 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICIA A IGWE Office Manager 248-440-6090  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301080385)  | 
| Enumeration Date | 2007-01-09 | 
| Last Update Date | 2020-08-22 |