| NPI | 1053510446 |
|---|---|
| Doing Business As | IMPACT |
| Entity Type | Organization |
| Authorized Contact | FADI SALLOUM Owner 248-267-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301065435) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-08-07 |