| NPI | 1497040893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA ALNOUNOU Owner 810-397-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301093129) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |