| NPI | 1740907245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAR QADRI Owner 734-414-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-08-27 |