| NPI | 1689658221 |
|---|---|
| Other Name | WALLED LAKE MEDICAL CENTER PC |
| Entity Type | Organization |
| Authorized Contact | FRANK L FENTON Physician 248-624-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI FF007946) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-11-12 |