| NPI | 1073087292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN O SMITH President Ambulatory Clinics 231-935-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-09-22 |