| NPI | 1225437718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M OLSON Medical Biller 810-824-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301063765) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |