| NPI | 1619176815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA GRAETZ Member/Manager 231-922-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301084276) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2015-02-20 |