| NPI | 1700245271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR HASSANE Manager 313-844-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301102602) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2017-11-30 |