| NPI | 1134171820 |
|---|---|
| Doing Business As | FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYAN REX CROSS CEO 989-839-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-05-23 |