| NPI | 1558684282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE K HARRIS C E O 231-348-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101008595) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101008595) |
| 171100000X Acupuncturist (Licence: MI 5101008595) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2016-11-02 |