| NPI | 1730203936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA P STAWICK Practice Manager 248-662-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI LS035226) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-04-24 |