| NPI | 1841515145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SUE BIRKMEIER-FREDAL Owner 248-259-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301074918) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |