| NPI | 1306126206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN WILLIAMS Billing Manager 517-423-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |