| NPI | 1902132731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FOLEY KABISCH Member / President 734-971-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI L998169) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |