| NPI | 1588631832 |
|---|---|
| Doing Business As | BLAKE WOODS MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | BROOKE A DAY Chief Executive Officer 517-787-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2011-10-27 |