| NPI | 1174800411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RAY SMALLEY President 231-233-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 5101009049) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |