| NPI | 1598779282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOISA ORIAL CEO 248-894-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-11-10 |