| NPI | 1134685415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHD AL-SAGHIR Delegated Official 248-541-7801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-09-18 |