| NPI | 1588278436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USMAN AHMED Owner 734-846-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-10 |