| NPI | 1740251487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SELZNICK President 734-266-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-04-29 |