| NPI | 1215345012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY CURTIS Owner 734-821-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 1497712129) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |