| NPI | 1649440579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONA WADLE Owner 248-919-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 5101013830) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2009-07-08 |