| NPI | 1255877445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M SVINARICH Physician Assistant 810-241-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003786) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-02-23 |