| NPI | 1790025500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE E MCMORROW Director Of Reimbursement 231-346-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2015-10-12 |