| NPI | 1972830479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DALE ROSENBAUM President 248-476-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101008667) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |