| NPI | 1790430593 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ESTHER AOIGAN Owner 248-417-1695  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 208D00000X General Practice | |
| Enumeration Date | 2022-02-21 | 
| Last Update Date | 2025-06-19 |