| NPI | 1902999550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ELIZABETH SWENOR Owner President 231-487-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5315016050) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |