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 |