| NPI | 1316572134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 208D00000X General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2023-01-23 |