| NPI | 1609101807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GERALYN WALSH Owner/Physician 810-667-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MI MA074465) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-01-04 |