NPI | 1053569962 |
---|---|
Entity Type | Organization |
Authorized Contact | REZA MAFEE Physician/President 734-572-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301032663) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |