| NPI | 1083875314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON C KUZDAK Medical Director/Owner 248-363-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101013354) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |