| NPI | 1942621990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA AILEEN CRAWFORD Owner/Anp 989-839-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4704175287) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-04-02 |