| NPI | 1689964264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA KAURA Manager 734-281-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |