| NPI | 1184892754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JONNALAGADDA President 313-345-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI DJ033519) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-04-20 |