| NPI | 1861596124 |
|---|---|
| Other Name | ON HOLD |
| Entity Type | Organization |
| Authorized Contact | MARK SMITH SVP Cmo, CEO Hfamg 517-205-6407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2019-08-09 |