| NPI | 1265622922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANESSA L SONGER Physician Owner 231-935-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101016092) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-10-05 |