| NPI | 1972503902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH IFTIKHAR Owner/Physician 586-276-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301065784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301065784) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301065784) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-10-17 |