NPI | 1366597544 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET MAINE Director 989-583-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 174400000X Specialist |
207R00000X Internal Medicine | |
2086S0120X Surgery, Pediatric Surgery | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2019-03-15 |