| NPI | 1366725954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S DAUGHERTY CEO 231-592-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 540030) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |