| NPI | 1447640172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANHAL NAOUMI Owener 248-752-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301079004) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-11-16 |