| NPI | 1811992704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GILIN Office Manager 989-354-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-12-15 |