| NPI | 1902364680 |
|---|---|
| Doing Business As | MICHELIN HEALTH CTR - ANDERSON HUB |
| Entity Type | Organization |
| Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |