| NPI | 1659484657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEVENS Owner 248-824-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-01-24 |