| NPI | 1033266085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELE K MACHT Administrator 989-463-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208600000X Surgery | |
| 225100000X Physical Therapist (Licence: MI 5501015998) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-02-13 |