| NPI | 1326580143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN REX CROSS Executive Vice President And COO 989-839-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 560020) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2022-05-23 |