| NPI | 1851386106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MARI (JOHN) BRADDOCK Health Officer 989-831-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2021-07-26 |