| NPI | 1982875779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JEAN HOLLAND Office Manager 248-569-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 32141) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |