| NPI | 1801155858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SLOAN Office Manager 734-284-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301089436) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |