| NPI | 1639502701 |
|---|---|
| Doing Business As | FRUITPORT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOHMAN Regional Director Phy Rev Cycle 231-727-4499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2015-02-03 |