| NPI | 1144634403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP 517-205-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2025-06-10 |