| NPI | 1730575085 |
|---|---|
| Doing Business As | TELEMEDICINE/VIRTUAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Supervisor, Enrollment 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301056134) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301059442) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MI 4301058284) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301067318) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301055579) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-06-28 |