| NPI | 1437710563 |
|---|---|
| Doing Business As | KANCC MEDICAL |
| Entity Type | Organization |
| Authorized Contact | PETER R NWOKE Owner 313-473-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-07-18 |