| NPI | 1851752331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABEEL SHABO Owner 586-214-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301089948) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2018-03-17 |