| NPI | 1023075744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWANNEKA UCHENNA ODUMODU President 734-276-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 0776377) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-05-22 |