| NPI | 1780667436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR HALICKI President 248-674-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101009374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101009374) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-10-02 |