| NPI | 1639543416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL KUMAR President/CEO 248-650-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007463) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |