| NPI | 1437107844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADOLPH KUMMLER CFO 810-424-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-18 |