| NPI | 1740921394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MILLER Director Of Rcm 248-331-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-12-13 |