| NPI | 1144435009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA MILLER Office Manager 517-278-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI CD51012553) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-08-05 |