NPI | 1336230788 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA J MUNSON Owner/Physician 989-729-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301029347) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704113660) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |