| NPI | 1972852705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM M MIHTAR President 313-736-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2014-10-09 |