| NPI | 1679986814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PISPIDIKIS Administrator 586-573-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704287416) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |