| NPI | 1043531007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARIE BLANDING Family Nurse Practitioner 734-225-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704190451) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |