| NPI | 1467633412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIMMIAH RAMESH Medical Director 734-522-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-04-20 |