| NPI | 1083864193 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHIDOZIE JOSHUA ONONUJU Owner 989-752-0706  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013295)  | 
| Enumeration Date | 2008-09-25 | 
| Last Update Date | 2008-09-25 |