| 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 |