| NPI | 1225270002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C URBAN Medical Director 989-516-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013179) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |