| NPI | 1861443269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUCKER Manager Enrollment & Patient Accts 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-02-13 |