NPI | 1750855086 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MILLER Director Of Rcm 248-331-7908 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
363A00000X Physician Assistant | |
Enumeration Date | 2019-01-21 |
Last Update Date | 2024-10-18 |