| NPI | 1083908198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL MHANNA Office Manager 313-581-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301089499) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-07-08 |