| NPI | 1649418211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KETSLAKH CEO 248-476-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2025-01-22 |