| NPI | 1487926812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK W ROSS Cpa 989-772-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI 1102002624) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |