| NPI | 1982990693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS MACHADO President/Physician 810-635-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301087655) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |