| NPI | 1285943670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANE HULSEMANN President 734-244-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301069503) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |