| NPI | 1437343373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA M GENSOLIN President 269-683-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301090975) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-03-10 |