| NPI | 1679797336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JONNALAGADDA Owner 248-363-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 430101076908) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-05-17 |