| NPI | 1124551833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYEL KATRIB Owenr 313-565-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |