| NPI | 1558759183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINA BACHUWA Operations Manager 810-266-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |