| NPI | 1386839215 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | ALI MOHAMED NASSSER President 313-843-8300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301077843) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2021-01-21 |