| NPI | 1750495495 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DARLA SUE PARSONS Executive Director 734-458-4490 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-08-19 | 
| Last Update Date | 2018-06-21 |