| NPI | 1346313277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN THIELE Owner 989-631-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301050197) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-11-20 |