| NPI | 1942925805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIBHI HAZIN Owner/Provider 586-777-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-12 |