| NPI | 1164574414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED SYED President 810-732-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301061253) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |