| NPI | 1063767713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISUKE UEDA Pediatric Resident 586-532-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 5301007841) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2013-03-07 |