| NPI | 1619412376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MAINE Director 989-583-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 730061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 730061) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 730061) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 730061) | |
| 207Y00000X Otolaryngology (Licence: MI 730061) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 730061) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 730061) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 730061) | |
| 208200000X Plastic Surgery (Licence: MI 730061) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 730061) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 730061) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: MI 730061) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 730061) | |
| 2088P0231X Urology, Pediatric Urology (Licence: MI 730061) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 730061) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |