| NPI | 1699174730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA VP Ancillary Services 231-392-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601002557) |
| 363A00000X Physician Assistant (Licence: MI 5601004425) | |
| 363A00000X Physician Assistant (Licence: MI 5601005943) | |
| 363A00000X Physician Assistant (Licence: MI 5601006097) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704212770) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704253480) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704299582) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-04-01 |