| NPI | 1447960380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D PLAMONDON CEO 989-372-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-05-30 |