| NPI | 1588983001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA V LUCIO-REINCKE Owner 810-326-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301072415) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |