| NPI | 1760533699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE ALBERTA BROWN Owner 248-354-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |