| NPI | 1891960092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN MADAK President 248-601-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 510102535) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2009-12-22 |