| NPI | 1174088066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDAMBER B. ALAMELUMAMGAPURAM Md 734-972-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-06-21 |