| NPI | 1235338583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSA S MOHAMED Internal Medicine 810-444-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-08-16 |