NPI | 1659719003 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM B. SASSER Owner 248-824-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2013-06-07 |
Last Update Date | 2018-03-14 |