| NPI | 1700033859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ROSE JACOBSON Director Of Health Services 231-995-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: MI 4704147470) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |