| NPI | 1033227434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL HAQ Owner 734-262-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301033697) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301033697) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2013-09-04 |