| NPI | 1033408935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIRUZZAMAN KHAN Pediatrician 313-366-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301057394) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2012-02-07 |