| NPI | 1790901072 |
|---|---|
| Doing Business As | PONTIAC TRAIL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBBIE SUE WITT-HAGGERTY Office Manager 248-624-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601002389) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 5101013058) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 5101012793) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-09-11 |