| NPI | 1841467420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CARDONA Medical Director 248-569-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301086699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301041657) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |