| NPI | 1598760795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM PASCOE Vice President/CFO 810-237-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |