| NPI | 1821043399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE A WIZENBERG President 248-661-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI tw038081) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-10-23 |