| NPI | 1114576337 |
|---|---|
| Doing Business As | ST. JOE'S MEDICAL GROUP - SALINE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL GUSHO CFO, Michigan Region 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |