| NPI | 1013466861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EQDAM RHADI Physician 313-789-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MI 5601007954) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-12-08 |