| NPI | 1366195760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAITH POTROUS Owner 586-722-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-08-29 |