| NPI | 1649725540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GRABOWSKI Office Manager 313-278-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301075097) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |