| NPI | 1275583106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F KIRCHHAINE Sole Proprietor 231-739-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI WK049279) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-01-03 |