| NPI | 1386840502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTONY President 586-778-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301058249) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-08-18 |