| NPI | 1144243114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULES LAWRENCE REINHARDT President 810-245-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 5101004966) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-05-23 |