| NPI | 1558432237 |
|---|---|
| Former Legal Business Name | MEMORIAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MIKE GRISDELA CFO 989-723-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601003225) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301041531) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-09-11 |