| NPI | 1700054210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA JACOBA VERWILGHEN Office Manager 313-831-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301077528) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-01-14 |