| NPI | 1699960013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F WHITAKER Provider 517-278-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-08-09 |