| NPI | 1811203789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANIA M BEYDOUN Owner 734-956-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301038699) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005435) |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2010-09-02 |