NPI | 1679739122 |
---|---|
Entity Type | Organization |
Authorized Contact | FANNY AGUIRRE DELA CRUZ Administrative Director 734-744-8560 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 36977) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2014-08-06 |