| NPI | 1629128418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J PERRY Owner 517-349-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI DP052522) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI KC064356) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-06-05 |