NPI | 1750560884 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRETT WALLACE ZINK Owner/Physician 517-543-5110 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 51001007158) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-11-09 |