| NPI | 1629243290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL RICHARD ELANJIAN Physician 313-561-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI me007858) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |