| NPI | 1649643792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNIE CLEVENGER President 269-441-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |