| NPI | 1851416929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUARIUS BOUIER Administrator 248-967-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101012320) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-03-07 |