| NPI | 1710233473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD M AL-SHAMI Owner 248-440-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2013-01-28 |