NPI | 1043806730 |
---|---|
Doing Business As | VITALITY MED LLC |
Entity Type | Organization |
Authorized Contact | MEGAN PUTMAN Administrator 989-673-6144 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-12-16 |
Last Update Date | 2023-10-10 |