NPI | 1497793863 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PAUL VAN ARK President 517-627-3281 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301406591) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2020-08-22 |