| NPI | 1619111002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A CARTER Senior Billing Representative 231-935-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |