| NPI | 1043750136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HAMMOUD Doctor 313-562-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704295266) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |