| NPI | 1750664991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOUISE CUPAL President 810-629-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4901002996) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |