| NPI | 1164807244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ROOD Office Manager 517-548-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704242410) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |