| NPI | 1659387488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI E CHESSIN Medical Physcian 989-463-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 3822220235) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-06-19 |