| NPI | 1831625656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYLE KATRIB Owner 734-404-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |