| NPI | 1134897812 |
|---|---|
| Doing Business As | ADVANCED PRACTICE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LISA JANELLE WOLSKE CEO 269-252-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-12-22 |