NPI | 1184884074 |
---|---|
Entity Type | Organization |
Authorized Contact | MERWIN LEE JENKINS President 734-425-6950 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101007097) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-09-09 |