| NPI | 1982830519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA L UNDERHILL Office Manager 517-267-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005S00) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |