| NPI | 1750111381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE G SALAZAR CEO/President 248-562-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |