| NPI | 1912941337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WILKINSON Chief Administrative Officer 734-712-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 2086S0129X Surgery, Vascular Surgery | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |