| NPI | 1396960308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODINI CHINTA LIYANAGE President 734-729-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301074724) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-02-18 |