| NPI | 1629183546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN NGUYEN Medical Director 248-584-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301070709) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-01-31 |