NPI | 1366017758 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY M MEISTER Owner 734-373-0849 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
Enumeration Date | 2021-05-26 |
Last Update Date | 2022-06-08 |