| NPI | 1114262540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN DAKROUB Owner 313-914-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301087179) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2017-12-11 |