| NPI | 1316143258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN CRUMMEL Nurse Practitioner President 231-932-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI NC114336) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |