| NPI | 1841564788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP 517-205-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2024-03-06 |