| NPI | 1730367152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY WALKER Medical Biller 574-273-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: MI LM037695) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2011-05-06 |