| NPI | 1982275723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIERRY M DESIR Owner 313-720-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-11-30 |