| NPI | 1356887137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ISMAIL ISMAIL Surgical Assistant 313-778-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 3932) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |