| NPI | 1790018315 |
|---|---|
| Former Legal Business Name | BAYSIDE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN RHEAUME President 586-598-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301058573) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |