| NPI | 1518118470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY L ROBBINS Practice Manager 810-982-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI JG075632) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MI DK035998) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2010-01-05 |