| NPI | 1265539357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHA DAVID ESSAK Owner/President 810-245-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301059235) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-04-14 |