| NPI | 1912079138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J BARACH Billing 248-258-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301005993) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2009-03-26 |