NPI | 1942375399 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN SHEREMETA Provider/Owner 734-779-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI as041942) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI pm069773) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2019-07-03 |