| NPI | 1669619748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DAVID AJLUNI Owner 734-425-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301082209) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |