| NPI | 1124137344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA KAY RICHARD Office Manager 989-894-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI NC014980) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-07-17 |