| NPI | 1134632169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI ANNE DEMBOWSKE President 517-927-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14307) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-01-02 |