| NPI | 1881809226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELIMA ACHARYA Senior Staff Physician 313-916-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301059649) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |