NPI | 1326160433 |
---|---|
Entity Type | Organization |
Authorized Contact | VIJAYALAKSMI THANDRA President 313-278-7750 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301058459) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2013-02-20 |