| NPI | 1750510459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE LUCAS-VOUGIOUKLAKIS Owner 734-362-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101016920) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-08-12 |