| NPI | 1326237611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE FRANCIS LITTLE Owner 269-381-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301044950) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-10-16 |