| NPI | 1376059238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. REID Owner/President 517-489-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI P000648) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |