| 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 |