| NPI | 1306069497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE LYNN ADLER Owner 313-730-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI CA009890) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |