| NPI | 1104063155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BYRENS President 269-781-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI DB048794) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2019-02-14 |