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 |