| NPI | 1679015507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY M NEMECEK Doctor 231-547-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901014579) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |