| NPI | 1952317646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R BACK President 734-261-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI WB006125) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-02-28 |