| NPI | 1336243740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PAWLOW Chief Of Staff 989-497-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704165258) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |