| NPI | 1255439956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZMUL HAQUE Owner 248-203-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301061429) |
| 208000000X Pediatrics (Licence: MI 4301086498) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-24 |