| NPI | 1023788148 |
|---|---|
| Doing Business As | IHA CLARKSTON PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Cheif Operating Officer & President 734-327-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |