| NPI | 1942504790 |
|---|---|
| Doing Business As | FORUM MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNA HOPE Practice Administrator 586-580-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |