| NPI | 1790017416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES POE CRAIG Owner 734-528-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI CC052386) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |