| NPI | 1073394458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO D BERLANGA President 989-631-4545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |