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 |