| NPI | 1386892834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOHNSON Director 586-228-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2012-12-12 |