| NPI | 1760708499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R ONEILL President 248-625-2621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301074879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301048260) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MI 5101011123) | |
| 207Q00000X Family Medicine (Licence: MI 5101009832) | |
| 207P00000X Emergency Medicine (Licence: MI 5101011134) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-08-22 |