| NPI | 1285465633 |
|---|---|
| Doing Business As | MASONIC PATHWAYS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE L SHAW Health Information Services/Clinic 989-466-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |