NPI | 1285985309 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLANDO M. ESTUPIGAN President 248-649-2430 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101010979) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2020-07-10 |