| NPI | 1821899279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KRECKMAN President 989-492-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |