NPI | 1699572453 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY GERARDY Owner 517-420-8736 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-02-28 |