NPI | 1043343759 |
---|---|
Former Legal Business Name | GMC PC DBA |
Entity Type | Organization |
Authorized Contact | PETE LEVINE Executive Director 810-733-9925 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-09-18 |