| NPI | 1184474397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT NEFF Sole Owner/CEO 517-290-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-09-03 |