| NPI | 1740490218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI FISHER Office Manager 810-720-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI SK063975) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-09-28 |