| NPI | 1730152133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEK H RICHTER Secretary Treasurer 248-819-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI MR053494) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-02-12 |