| NPI | 1811241508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE GALOVICH Biller 248-593-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |