| NPI | 1659520237 |
|---|---|
| Doing Business As | LIGHTHOUSE MEDICAL CENTER PC |
| Entity Type | Organization |
| Authorized Contact | WILLIE JAMES PETTIWAY Medical Doctor 313-345-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI WPO49323) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2011-01-13 |