NPI | 1104271170 |
---|---|
Doing Business As | WAYNE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | M NABEEL SHAHID Practice Administrator 734-389-7103 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301096451) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2016-04-27 |