| NPI | 1124071303 |
|---|---|
| Doing Business As | FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYAN REX CROSS President 989-839-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-05-17 |