| NPI | 1104129303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DE GUZMAN Director 989-269-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301091071) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2011-03-31 |