| NPI | 1982808804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARIE WINKLER Member 517-290-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 5101015691) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |