| NPI | 1982647004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE HERMAN VP Physician Services 810-606-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-01-15 |