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 |