| NPI | 1831592690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER B WOLLSCHLAEGER Owner 517-381-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301068371) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-11-30 |