| NPI | 1699392787 |
|---|---|
| Other Name | VPA PC SPECIALTY PHA WA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEVENS Owner 248-824-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-10-21 |