| NPI | 1013311273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MAYCOCK Billing Director 734-673-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MI 05337Y) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |