| NPI | 1245788629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA BANATWALA CURRY Physician 248-802-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7928) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |