| NPI | 1912450818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA STETLER Office Manager 517-539-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301091114) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-08-24 |