| NPI | 1316104003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN JUNGE President 989-631-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 30319) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2009-02-17 |