| NPI | 1295479251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINIQUE KLING Owner 989-430-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-04-18 |