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 |