| NPI | 1780853424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY H POLING President, Sole Owner 734-284-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101006204) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |