| NPI | 1861622169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NATHAN ISRAEL Owner 517-782-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301052400) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |