| NPI | 1679278063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MILLER Director Of Rcm 248-331-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-10-18 |