| NPI | 1205997996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NICOLE STRAUCHMAN Executive Director 810-694-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101015946) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-19 |