| NPI | 1861758658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE KOHN Medical Director 231-737-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |