| NPI | 1477894574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFONSO C FERREIRA President 989-670-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301035277) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |