| NPI | 1669523650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J SMITH President 517-627-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI DS030055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007475) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704208405) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-12-11 |