| NPI | 1487280681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA MAXINE BRADLEY Owner 313-204-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-06-26 |