| NPI | 1316103930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE LOUDER President 231-933-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101012165) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2008-09-22 |