| NPI | 1982957288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDOZIE J ONONUJU Director 989-752-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101013295) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601002064) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |