| NPI | 1730531914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PEREZ Executive Assistant 248-865-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-02-05 |