NPI | 1750779708 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER ROEBUCK President 248-932-2607 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4301065408) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2014-12-29 |