| NPI | 1114484540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAAN EKKAH Owner 248-925-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2024-12-12 |