NPI | 1326091513 |
---|---|
Entity Type | Organization |
Authorized Contact | JARED WEIR Owner/Physician 989-790-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MI 1010000059) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-06-09 |