| NPI | 1528680816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JANELLE WOLSKE CEO 269-462-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 363A00000X Physician Assistant | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-11-01 |