| NPI | 1669457602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN V BOGDAN Managing Agent 248-203-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301064314) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2013-05-13 |