NPI | 1972701159 |
---|---|
Entity Type | Organization |
Authorized Contact | ISMAEL DAVID YANGA President 517-548-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301084033) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-10-15 |