| NPI | 1144489444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM SMITH Managing Member 231-547-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301076489) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2009-01-21 |