| NPI | 1205889490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN REX CROSS CEO 989-839-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-05-17 |