| NPI | 1932598976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RANGER Owner 231-360-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI E5524D) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-24 |