NPI | 1447859558 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK HEPLER CFO 231-935-6512 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |