| NPI | 1700171725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD S AWAISI Owner 313-463-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |