| NPI | 1275214876 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | PHILIP KHOURY Chief Medical Officer 248-459-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |