| NPI | 1356393995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B DRIMALLA Medical Director 989-633-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301407557) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |