NPI | 1093703548 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDIA A SANTINI Practice M Anager 231-487-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301044355) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-08-22 |