| NPI | 1316092943 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BROOKE JAMROG Medical Biller 231-933-3283  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MI 4301056827)  | 
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2017-03-09 |