NPI | 1902187008 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJAY MURTHY President 248-650-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
207QG0300X Family Medicine, Geriatric Medicine | |
213EP1101X Podiatrist, Primary Podiatric Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2011-09-01 |
Last Update Date | 2023-04-27 |