| NPI | 1922286061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M PEARL Physician/Owner 734-762-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301054222) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301054222) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-06-21 |