| NPI | 1881727725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LAWRENCE ISAAC Doctor 248-334-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301073786) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-02-16 |