| NPI | 1831407311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK K LEWERENZ Manager 248-419-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101006349) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2011-02-10 |