| NPI | 1760166821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HALL Owner 248-536-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2024-06-24 |