| NPI | 1013939073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINVAL KEITH FLEETWOOD Owner/Physician 810-239-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI LF034519) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-10-16 |