| NPI | 1700666708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DENOTTER Owner 989-625-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-11-12 |