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 |