| NPI | 1740398940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNSEL FATIMA AVCI-WOLF President/Owner 248-363-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI GA012197) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |