NPI | 1750507729 |
---|---|
Doing Business As | WEST BLOOMFIELD FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KEVIN G. DEIGHTON President 734-432-7581 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-04-18 |
Last Update Date | 2011-03-25 |