| NPI | 1669778759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HASBANY Buisness Manager 248-547-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI RH064166) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-04-27 |