| NPI | 1114157120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARTER Senior Billing Representative 231-935-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |