| NPI | 1306928841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN MEYER President S Corporation 231-947-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 5101013561) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-18 |