| NPI | 1144902974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORRIS C POLK CEO/President 313-673-5970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-01-07 |