| NPI | 1760651012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ANGEL ESTIGARRIBIA President 313-277-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MI JE038833) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-21 |