| NPI | 1972050748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HE VP Ancillary Services 231-392-8410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-04-01 |