| NPI | 1588850424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS O ULINFUN Medical Director 313-388-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI TU010840) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |