| NPI | 1518059914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTAHHAR AHMAD President 248-840-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301065663) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-12-18 |