| NPI | 1851580815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY J SCHAUB Owner 231-995-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601001376) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |