| NPI | 1790512168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MUSSON Owner Authorized Official 586-992-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-30 |