| NPI | 1689076895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWAD A AZIEM Medical Director 810-785-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301097557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097557) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301097557) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2017-03-13 |