| NPI | 1245274513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA S MCKINNEY Owner/Physician 248-968-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301074809) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |