NPI | 1184972465 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ETUE Biller 517-522-8582 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704149271) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-08-17 |