| NPI | 1013194182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL R CHAVARRI Owner 989-657-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI MC034224) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2012-04-02 |