| NPI | 1740889583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY LYNN SHELTERS PARKER Owner 517-849-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2022-02-28 |