| NPI | 1801942453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID T FATA President 248-844-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301072629) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301082244) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 5101017226) | |
| 363A00000X Physician Assistant (Licence: MI 5601005949) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089528) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801084651) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-07-05 |