| NPI | 1437279718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RENE JOHNSON Sole Proprietor 989-249-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013861) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-10 |