| NPI | 1639837917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEETHI R PATEL Owner/Physician 248-654-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-08-03 |