| NPI | 1598963605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD YORK President 231-845-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI RY046032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI CY144138) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |