| NPI | 1689537102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE WILLIAMS Administrator 734-245-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2026-06-16 |