| NPI | 1104066315 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT JAMES GRAHAM President 906-632-7878  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI RG005899)  | 
| Enumeration Date | 2009-02-27 | 
| Last Update Date | 2012-05-24 |