| NPI | 1912194622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ELIZABETH KLING President/Owner 586-254-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI MK4301060329) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-01-17 |