| NPI | 1386081529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL GRANADOS Physician Owner 734-667-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301061850) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-01-10 |