| NPI | 1851692313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A DYMEK Nurse Practioner 989-790-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI MD109206) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-29 |