| NPI | 1114222031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. BLAIR DOWDEN Medical Doctor 810-824-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301088847) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |