| NPI | 1174947543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM H DABAJA CEO 248-398-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5601004858) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2015-03-25 |