NPI | 1679779011 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADFORD J MERRELLI President 248-852-5355 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301048826) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2014-06-30 |