| NPI | 1083636021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL B TYLER Owner/President 810-629-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101011859) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-01-15 |