| NPI | 1770889834 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHARLES R SLONE President 313-565-9390 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301030744) | 
| Enumeration Date | 2011-02-07 | 
| Last Update Date | 2011-05-20 |