| NPI | 1811933179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANN ULBERG Administrator 269-321-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MI 396833) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-11-04 |