| NPI | 1609681923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ROBERT MCKENNA Sheriff 810-245-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |