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 |