| NPI | 1497901524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA J MCKAY Office Manager 517-627-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI EB006567) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-18 |