| NPI | 1558132399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKOYA S BROWN Member 248-639-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |