| NPI | 1962836957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINDER MENDIRATA President/Owner 248-809-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301060904) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |