| NPI | 1124461702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR EL-ACHKAR Medical Director 248-646-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301082473) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2019-02-20 |