| NPI | 1720198039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R STEIBEL President 810-750-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI KS051250) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |