| NPI | 1760029581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ZREIK CEO 586-445-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2020-04-20 |