| NPI | 1730128190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JACOB PATTY CEO 248-626-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |