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 |