| NPI | 1871554626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing COO Rdinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-01-28 |