| NPI | 1225692387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA A MUNN Pa., Owner, Authorized Official 586-709-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-05-02 |