| NPI | 1235372277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROON ANSARI-NAZ Executive Director/Vice President 517-202-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |