NPI | 1033717632 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTHER C. AOIGAN President 248-728-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
207QA0505X Family Medicine, Adult Medicine | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2025-09-15 |