| NPI | 1881700128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNA JEAN TURKISH Owner 734-427-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI VT 006757) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-07-14 |