| NPI | 1851584585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE E SNYDER Office Manager 989-224-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301060307) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-02-22 |