| NPI | 1447807771 |
|---|---|
| Doing Business As | PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERRI WALKER Systems Manager 313-450-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |