| NPI | 1083059562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE C WAGGONER Owner 517-927-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017372) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |