| NPI | 1730117805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor 248-680-8121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208C00000X Colon & Rectal Surgery | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-11-29 |