| NPI | 1336392067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON O RODRIGUEZ Medical Director 989-752-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013295) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2016-08-01 |