| NPI | 1871777672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M NADAI Billing Agent 248-547-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301075318) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2018-01-24 |