| NPI | 1851682504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 2080T0002X Pediatrics, Medical Toxicology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-04-30 |