NPI | 1902266356 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY HUTCHINS President 989-854-8334 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2016-02-28 |
Last Update Date | 2024-09-04 |