| NPI | 1790256980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZA MASOUD Owner/President 248-739-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |