| NPI | 1982772752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH BRATEMAN Owner 248-473-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301042662) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-10-13 |