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 |