| NPI | 1174644058 |
|---|---|
| Other Name | ON HOLD |
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP. Cmo 517-205-6407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-03-06 |