| NPI | 1720390453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing COO Rdinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085B0100X Radiology Body Imaging | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2023-11-15 |