| NPI | 1528643723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM H DABAJA Director/Owner 517-888-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-12-19 |