| NPI | 1780625145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HANKINS Credentialing 734-994-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-09-23 |