| NPI | 1972898369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEARIE NICHOLAS YUILLE Owner 313-742-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301032778) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-09-29 |