| NPI | 1548347206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBIOMA S AGOMUOH Owner 313-893-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301063912) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4301063912) |
| 208D00000X General Practice (Licence: MI 4301063912) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-09-26 |