| NPI | 1689623506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAMES Provider Enrollment Coordinator 989-701-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-09-27 |