| NPI | 1851487904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE LYNN ROGERS Office Manager 313-299-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301069863) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |