| NPI | 1184983884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MATTILA Office Manager 906-235-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301066449) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2022-12-22 |