| NPI | 1154416717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA S KELLER Owner 989-358-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704177958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704208256) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-06-23 |