| NPI | 1942357959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER STANLEY HARRIS President 313-366-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 510100720) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |