| NPI | 1356047773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MIRZA Nurse Practitioner 313-763-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-12-13 |