| NPI | 1073842241 |
|---|---|
| Doing Business As | REVOLUTION WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHADI MANSOUR Physician 586-323-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301077635) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2021-09-17 |