NPI | 1376580175 |
---|---|
Doing Business As | FAMILY MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDREW STACK Owner 989-875-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 4301064712) |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2009-01-08 |