| NPI | 1518493824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301043177) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |