| NPI | 1104079268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHA R YENUMULA President And CEO 517-708-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301087786) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2009-05-28 |