| NPI | 1861159600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA LEE PIERRET Owner/Physician 248-514-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-04-22 |