| NPI | 1689022469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEED MAHFOOOZ Owner 989-672-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-08-09 |