| NPI | 1740225598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E BERNER Clinic Administrator 989-892-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-08-20 |