| NPI | 1811154628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH KUMMLER VP Finance 586-573-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-10-16 |