| NPI | 1053650473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ELIZABETH COOK President/Physician 989-224-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5101016172) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2017-01-25 |