| NPI | 1689430407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAWYA KAZAN Nurse Practitioner 313-414-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-04-18 |