| NPI | 1801367073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MEAD Practice Manager 517-212-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-04-30 |