| NPI | 1487855391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATINA MASRI Owner 313-945-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301052487) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301053444) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |