| NPI | 1982881033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J BAUER Business Owner / Operator 248-693-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301053102) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2023-05-02 |