| NPI | 1902322035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN WRONA President 248-324-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |