| NPI | 1972681187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 830190) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-10-03 |