NPI | 1902904436 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAH IFTIKHAR Owner/Med Dir/Phy 734-324-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301065784) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301065784) |
261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301065784) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-10-17 |