| NPI | 1437506052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEQUISHIA ALEXANDER Owner 313-712-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090603) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-06-03 |