| NPI | 1821463175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATIMA BOINEPALLI Physician 517-347-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301085879) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |