| NPI | 1962612606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUTHIN LIPTAWAT President 586-773-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MI 34874) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-12-31 |