| NPI | 1053348938 | 
|---|---|
| Doing Business As | FAMILY MEDICINE CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | RICHARD TRUFANT CFO 517-279-5396  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 120010)  | 
| Enumeration Date | 2006-06-27 | 
| Last Update Date | 2020-08-22 |