| NPI | 1922215201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BULLY Physician Owner 313-833-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301057665) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-11-02 |