| NPI | 1790898237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSHAN NESTOR President 248-689-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301044600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301068171) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-25 |