| NPI | 1073798211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD SHOKOOHI Md/Owner 989-793-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 4301040619) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |