| NPI | 1992703169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M TOBIN Owner/Physician 734-427-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101010694) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |