| NPI | 1689496820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J PALAJAC President 313-600-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |