| NPI | 1740594225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY W FAIRCLOUGH President 248-738-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301036119) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301036119) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-11-10 |