| NPI | 1679561138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA A SANTINI Practice Manager 231-487-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301058449) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |