| NPI | 1770744773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIDA SARNO MEDINA Owner/Manager 269-925-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 4301037695) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |