| NPI | 1063123735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MOLNAR Business Operations Manager 313-948-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-05-22 |