| NPI | 1225233562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N BENTLEY Family Practice Md 517-787-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI MB019940) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-10 |