| NPI | 1740451780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD STEVEN BORTMAN President 248-960-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI MI5101012499) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2010-01-11 |