| 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 |