NPI | 1972699312 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD NEELY Partner 989-288-7814 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI KM066182) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI RN004783) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |