| NPI | 1669799318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSE A EKOLE President 586-585-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MI 4301080987) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-10-19 |