| NPI | 1972760692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES MARY SMARCH Medical Receptionist 810-984-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301033555) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |