| NPI | 1558616144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W SIEMER Physician 231-271-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 4301051573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301051573) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |