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 |