| NPI | 1699989194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA VANLANDEGHEM Billing Supervisor 248-852-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI NZ056270) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-12-02 |