| NPI | 1770613770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HULL Office Manager 517-787-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5301025270) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |