NPI | 1699957571 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA KAY GRAETZ Owner/Physician 231-922-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301068214) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2024-02-15 |