| NPI | 1942051842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GALLIWAY President 810-569-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-07-08 |