| NPI | 1396889242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY HITCHCOCK Office Assistant 810-639-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |