| NPI | 1811001795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JEFFERSON KISLING CEO/ Clinic Director 231-946-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 2301007338) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-01-11 |