| NPI | 1760501563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R RUETTINGER Office Manager 313-561-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101009296) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-26 |