| NPI | 1689979569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE ANNE JOERIN Office Manager 313-914-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2023-10-04 |