NPI | 1881789980 |
---|---|
Doing Business As | NORTHSIDE IMMEDIATE CARE CENTER |
Entity Type | Organization |
Authorized Contact | ERWIN LEROY GRASMAN President 231-744-4743 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |