| NPI | 1245251446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON SAWA Owner Physician 269-651-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301087947) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |