| NPI | 1568787828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES LIDDELL Physician/Owner 517-668-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101011829) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |