| NPI | 1881970770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS L JIMENEZ BARREDO President 517-944-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME101359) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |