NPI | 1134457435 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ROBERT NEUENSCHWANDER President/Incorporator 734-995-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301050438) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704136630) |
207Q00000X Family Medicine (Licence: MI 4301091374) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704196627) | |
Enumeration Date | 2009-11-24 |
Last Update Date | 2015-08-04 |