NPI | 1538590583 |
---|---|
Entity Type | Organization |
Authorized Contact | TAHERA AZHARUDDIN President 248-915-5949 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301089681) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301089681) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2013-12-02 |