| NPI | 1942244785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE JONES Owner/Physician 586-776-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301061672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301061672) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-08-23 |