| NPI | 1154577419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY L WILLIAMS Physician/Owner 231-719-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101009366) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-02-08 |