| NPI | 1972790418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY E HALLAHAN Practice Manager 313-561-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-01-31 |