| NPI | 1528173812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J CARLEY Owner/Physician 810-985-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI GC011673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI RS074708) |
| 207Q00000X Family Medicine (Licence: MI JB070145) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-06-13 |