| NPI | 1821491283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI MESIONA-BRUCAL Owner 269-463-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301079223) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |