| NPI | 1821478959 |
|---|---|
| Former Legal Business Name | FSC OF MICHIGAN SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | CINDY RITA BECKER Secretary 949-398-8413 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-09-09 |