| NPI | 1942751334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN NICHOLAS SMIY President / Owner 269-281-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301073629) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |