| NPI | 1740450303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS OSAYI ULINFUN Owner 313-388-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101 010840) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2013-12-19 |