| NPI | 1083074850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEIUTTENUN C BROWN Owner 313-894-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301088766) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-04-22 |