NPI | 1417481136 |
---|---|
Doing Business As | NORTHERN LAKES INTEGRATED HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | NANCY STEVENSON COO 231-922-4850 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-11-28 |