| NPI | 1922249366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABETHA LYNN THOMPSON Practice Manager 734-712-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2023-05-08 |