| NPI | 1295074409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTAHAR H AHMED Owner 248-227-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301089057) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |