| NPI | 1124631445 |
|---|---|
| Doing Business As | AVENUE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHELLE GORMAS Manager 517-618-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-09-17 |