| NPI | 1427208537 |
|---|---|
| Doing Business As | CENTER FOR SPORTS AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN F MAGNUSON Practice Administrator 734-458-4490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2017-04-12 |