| NPI | 1780035410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL HERRERA-MARTINEZ Internal Medicine Resident 586-381-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA MT211930) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA MT211930) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |