| NPI | 1467983817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE DILLEY Owner 810-407-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-09-18 |