| NPI | 1659378487 |
|---|---|
| Doing Business As | FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SUSAN M RICE Secretary 313-836-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 178901) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-05-27 |