| NPI | 1497994776 |
|---|---|
| Other Name | MID LEVEL PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | THOMAS M MINNEC President Of Corporation 989-792-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |