| NPI | 1164756417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA WADOOD Propritor 586-604-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301079852) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: MI 4301079852) |
| 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301079852) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |