| NPI | 1629003132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INSHAD H BEYDOUN Owner 313-582-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5601003140) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-10-05 |