| NPI | 1922278746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IQBAL NASIR Owner 248-901-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI IN039377) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2015-10-07 |