| NPI | 1710058680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J DAROS Owner President 810-230-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101012998) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-11-06 |