| NPI | 1548894413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANAJIT SIL Owner 313-543-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2025-02-03 |