| NPI | 1053408948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BROWN Administrator 810-987-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: MI 2901011180) |
| 208D00000X General Practice (Licence: MI AM051181) | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-05-20 |