| NPI | 1649095175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAEED A BAZZI Agent 313-663-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-03-19 |