| NPI | 1609967652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KAYE BUTCHBAKER Owner Physican 517-278-6411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101013510) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-01-07 |