| NPI | 1003244120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMOON MAHGOUB ELBEDAWI Owner 810-733-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301104217) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2024-03-14 |