| NPI | 1831984269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ZREIK Mso 313-392-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 163WW0000X Registered Nurse, Wound Care | |
| 207N00000X Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-05-21 |