| NPI | 1487339420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE AL HAGE Owner 734-246-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-11-03 |