| NPI | 1952656696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE PIERCE CEO 810-787-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-02-10 |