NPI | 1740478270 |
---|---|
Other Name | IDEAL HOME PHYSICIANS PC |
Entity Type | Organization |
Authorized Contact | ADEKUNLE EMMANUEL OSHIYOYE CEO 248-440-0920 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MI AO060924) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2009-04-22 |