| NPI | 1932333135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE S KAZMERS Owner/Provider 231-995-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4301041105) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |