NPI | 1942051842 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN GALLIWAY President 810-569-9514 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
Enumeration Date | 2024-03-28 |
Last Update Date | 2024-03-28 |