NPI | 1518695303 |
---|---|
Entity Type | Organization |
Authorized Contact | TAREK A CHAHINE Medical Director 248-670-3617 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-09-12 |