| NPI | 1487998332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAY NWADINOBI Owner 248-234-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI JN004533) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI TO091134) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-05-15 |