| 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 |