| NPI | 1699008318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAROLD VINCENT President/Physician 989-753-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301023033) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |