NPI | 1619131646 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH L DUNCAN Physician/Co Owner 810-629-7511 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301051746) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2008-07-18 |