NPI | 1003204769 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAH IFTIKHAR President 248-957-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301063833) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
207R00000X Internal Medicine (Licence: MI 4301063833) | |
Enumeration Date | 2015-01-05 |
Last Update Date | 2023-10-17 |