| NPI | 1689956260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO WASHINGTON Manager 248-506-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301038582) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2019-09-27 |