| NPI | 1255429007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH E. SCHUMACHER President 810-235-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 207R00000X Internal Medicine (Licence: MI 4301405199) | |
| 104100000X Social Worker (Licence: MI 6801035828) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-05-07 |