| NPI | 1093838633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARONE K NORMAN Office Mgr 231-935-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704123270) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |