| NPI | 1750510756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEVAUGHN TAYLOR Intern 810-449-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI L1594590) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2009-07-11 |