| NPI | 1952833196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFIQUL ALAM Medical Director 248-561-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-06-29 |