| NPI | 1710527569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY TURBOVSKY Authorized Official 248-757-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |