NPI | 1578547071 |
---|---|
Entity Type | Organization |
Authorized Contact | MITZIE J HEWITT Owner 231-269-4185 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MI 5101013101) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2021-03-24 |