| NPI | 1861947558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WEST Office Manager 989-799-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2023-03-20 |