| NPI | 1669614152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RENEE SCHRECKENGUST President 269-925-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5601002947) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |