| NPI | 1891052726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIR ALI Medical Director 810-394-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2018-09-05 |