| NPI | 1861636540 |
|---|---|
| Other Name | MOOSA |
| Entity Type | Organization |
| Authorized Contact | ANNETTE PHILLIPS CEO 734-240-8840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301081240) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |