| NPI | 1760675722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MORT Office Manager 269-344-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI FH020602) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |