| NPI | 1669682951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM ELAMI Single Member 269-327-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301068834) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-07-31 |