| NPI | 1891955597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DZIUBA President 586-773-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 43010039122) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2009-03-10 |