| NPI | 1013467794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T OWCZARZAK Physician 810-733-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301068046) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |