| NPI | 1962821751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG T KUESEL Owner/ Do 231-935-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 5101009105) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |