| 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 |