| NPI | 1932201167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MADELINE BELL Nurse Practitioner 810-225-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704163853) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |