| NPI | 1710920996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M GEPPERT Owner/Physician 734-414-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101007684) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-03-14 |