| NPI | 1235141979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ASBURY WALK Owner President 269-969-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301046717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084400) |
| 208D00000X General Practice | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |