| NPI | 1861818460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJID TAJ Medical Director 734-398-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301066216) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |