| NPI | 1013167444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LAVERNE LYND Owner/Physician 517-784-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2012-07-19 |