| NPI | 1710764410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE J MAYO Patient Accounts Manager 517-748-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 104100000X Social Worker | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 364SW0102X Clinical Nurse Specialist Women's Health | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-06-06 |