| NPI | 1780676684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE SCHICHTEL Practice Administrator 231-935-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2025-05-29 |