| NPI | 1578752127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAAFAT ISSA Owner 586-566-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI RI057892) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-04-29 |