| NPI | 1902092273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN K EASTES President 586-263-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301048104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301052968) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2009-08-11 |