NPI | 1912224148 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE GIBSON Director Of Operations 586-498-8922 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
208D00000X General Practice | |
Enumeration Date | 2010-04-28 |
Last Update Date | 2010-04-28 |