NPI | 1417385774 |
---|---|
Entity Type | Organization |
Authorized Contact | VESNA L ROI President 313-520-6017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101011687) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2013-10-24 |