| 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 |