| NPI | 1134680333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASER ALI FADEL CEO 313-656-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-04-13 |