| NPI | 1831201821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ECKENWILER Office Manager 586-552-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301049083) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-21 |