NPI | 1487686754 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER STITES Health Info Specialist 989-774-6599 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208600000X Surgery | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2022-06-23 |