| NPI | 1780348086 |
|---|---|
| Former Legal Business Name | A3 PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DIANA EL MASRI Credentialing Coordinator 248-215-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |