| NPI | 1215483938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYIA NOVAK Owner/Nurse Practitioner 313-715-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704225812) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |