NPI | 1235640335 |
---|---|
Doing Business As | MUNDY FAMILY CARE |
Entity Type | Organization |
Authorized Contact | RALPH S LAZZARA Physician 810-407-6039 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-10-16 |
Last Update Date | 2017-10-16 |