NPI | 1033188735 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA E LAWTON Manager 989-374-0137 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2006-03-15 |
Last Update Date | 2021-10-27 |