NPI | 1558451724 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CHRISTINE MARSHALL Owner/President 810-695-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI MM070680) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-08-10 |