| NPI | 1003095605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J. SCHLUETER Office Manager 231-946-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-03-19 |