| NPI | 1033901723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MAAROUF Owner 586-994-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |