| NPI | 1417094459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N. POWELL Physician 231-780-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013736) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-05-05 |