| NPI | 1932108529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI H MAHMOOD Owner/Physician 313-893-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI GP068359) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-05-07 |