| NPI | 1699659185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY ELIZABETH REED Nurse Practitioner 248-565-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-11-14 |