| NPI | 1730506726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE HARTL Owner 231-421-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-07-06 |