| NPI | 1831402684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SCHNEBERGER Administrative Director 810-424-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301063412) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2014-05-27 |