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 |