| NPI | 1831212927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD BRUNT President 248-840-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013443) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-11-13 |