| NPI | 1801925201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P PENN Owner 734-425-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101005940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101004910) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2009-06-08 |