| NPI | 1427139161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BORMAN Business Manager 517-548-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101014703) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-03-03 |