NPI | 1851715585 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR I CORONDAN Owner 248-837-9419 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301059864) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-04-24 |