| NPI | 1841234457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HANSEN CEO 517-913-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-01-20 |