| NPI | 1639356603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT PETER HELGERSON Owner And President 269-629-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301406802) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-23 |