| NPI | 1730492422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE S MICHALAK Medical Doctor 202-832-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DC md16523) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |