| NPI | 1013228436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD G GOODMAN Owner 517-702-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QL0400X Clinic/Center, Lithotripsy |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-07-29 |