| NPI | 1679675037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH C BARTH Chief Financial Officer CFO 269-966-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 130031) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |