| NPI | 1295967008 |
|---|---|
| Doing Business As | UNION LAKE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH Medical Director 248-363-4195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |