| NPI | 1780854174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BOLLIN Chief Of The Department Of Fm 586-447-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301088641) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |