| NPI | 1821267832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA FELICIA DOOLEY President CEO 248-747-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2008-02-23 |