| NPI | 1023287356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRANMAYI SURAPANENI Member 248-541-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301080888) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2010-03-05 |