| NPI | 1891597050 |
|---|---|
| Doing Business As | IDEAL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LUIS PENA-HERNANDEZ Medical Director 248-228-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |