| NPI | 1043724396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDA BARAKAT M.D/Physician 313-551-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2023-07-10 |