| NPI | 1871648212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE MEYERS Physician 586-754-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI M15101 007089) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-03-07 |